PC-PNCB Exam Topics Actual Exam
PC-PNCB EXAM TOPICS ACTUAL EXAM NEWEST 2025/2026
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
|ALREADY GRADED A+||ALREADY GRADED A+
BACKGROUND:
- 5 yo w/daily fevers q evening
- Flat rash on trunk comes and goes, lasting a few hours
- Child c/o jt pains & often limps
- Less energy than normal
- Mom says she looks ill
QUESTION: What is this most consistent with?
A) Polyarticular JIA
B) Oligoarticular JIA
C) Systemic JIA
D) Psoriatic Arth
CORRECT ANSWER(S):
C) Often presents w/ill appearing child w/chronic daily fevers and a fleeting
evanescent rash
-- often arthralgias & myalgias, but may delayed years
WRONG ANSWERS:
A) Polyarticular JIA = 5+ jts w/in 1st 6 mo, wt bearing jts often affected w/some
systemic involvement; ANA is positive
B) Oligoarticular/Pauciarticular JIA = 4 or fewer jts, often large wt bearing jts -->
flexion contractures; NO systemic involvement; ANA can be positive if uveitis
present
1|Page
, PC-PNCB Exam Topics Actual Exam
D) Psoriatic Arthritis - monoarticular & precedes rash; pitting nails, sacroilitis, and
tenosynovitis
BACKGROUND:
- 5 yo boy weighing 50 lbs
QUESTION: What are his safety restraints when riding in car?
A) Rear-facing infant seat in back seat
B) Rear-facing booster seat in back seat
C) Booster seat in front seat
D) Booster seat in back seat
CORRECT ANSWER(S):
D) Booster seat in back seat
Two National Rules:
- Rear facing until at least 1 yo
- Must be in separate restraint (plus seatbelt) until 4 yo or 40lbs
WRONG ANSWERS:
A)
B)
C)
D)
BACKGROUND:
- 2 hr old female in NICU
- FT, 5180g via in vitro
- Omphalocele prev eval'd by surg
2|Page
, PC-PNCB Exam Topics Actual Exam
- Now jittery w/BG at 12
- PE = macroglossia, facial nevus flammeus, midface hypoplasia, & infraorbital
creases
QUESTION: Which of the following is she at risk for?
A) Acute Lymphoid Leukemia
B) Osteosarcoma
C) Medullary Thyroid Cancer
D) Hepatoblastoma
CORRECT ANSWER(S):
D) This is Beckwith-Wiedemann Syndrome (11p15) --> Wilms and Hepatoblastoma
(do US and measure serum AFP)
WRONG ANSWERS:
A)
B)
C)
BACKGROUND:
- 14mo w/head injury after fall
QUESTION: When assessing children with injuries, which of the following findings
does the nurse consider most concerning for possible child abuse or neglect?
A) Bruise in crawling, but not walking child
B) Delay by parents in seeking care
C) Bruising on legs
D) Any scald injury in child under age of 5
CORRECT ANSWER(S):
3|Page
, PC-PNCB Exam Topics Actual Exam
B)
WRONG ANSWERS:
A) 2 or more bruises in child not yet crawling = red flag
C) Red Flag Bruising on torso, neck, ears, or buttocks; bite marks also
D) Immersion scald injuries w/clear demarcation line (rather than splatter patter)
are consistent w/abuse
QUESTION: Which of the following statements regarding physiological peripheral
pulm stenosis (PPPS) is true?
A) May resolve spontaneously by 2-6 mo
B) Majority of cases have an associated syndrome
C) Detailed w/u to be done in neonatal period to find the etiology
D) Usually associated w/mild cyanosis
CORRECT ANSWER(S):
A) PPPS d/t persistent fetal anatomy
- soft, harsh systolic ejection murmur best heard at axilla
WRONG ANSWERS:
B)
C)
D)
QUESTION: Which of the following is true of teamwork training for
interprofessional collaborative practice in health professions education?
A) Outcomes-based competency expectations required
B) Includes training with other nurses only
C) Has lagged behind practice changes
4|Page
PC-PNCB EXAM TOPICS ACTUAL EXAM NEWEST 2025/2026
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
|ALREADY GRADED A+||ALREADY GRADED A+
BACKGROUND:
- 5 yo w/daily fevers q evening
- Flat rash on trunk comes and goes, lasting a few hours
- Child c/o jt pains & often limps
- Less energy than normal
- Mom says she looks ill
QUESTION: What is this most consistent with?
A) Polyarticular JIA
B) Oligoarticular JIA
C) Systemic JIA
D) Psoriatic Arth
CORRECT ANSWER(S):
C) Often presents w/ill appearing child w/chronic daily fevers and a fleeting
evanescent rash
-- often arthralgias & myalgias, but may delayed years
WRONG ANSWERS:
A) Polyarticular JIA = 5+ jts w/in 1st 6 mo, wt bearing jts often affected w/some
systemic involvement; ANA is positive
B) Oligoarticular/Pauciarticular JIA = 4 or fewer jts, often large wt bearing jts -->
flexion contractures; NO systemic involvement; ANA can be positive if uveitis
present
1|Page
, PC-PNCB Exam Topics Actual Exam
D) Psoriatic Arthritis - monoarticular & precedes rash; pitting nails, sacroilitis, and
tenosynovitis
BACKGROUND:
- 5 yo boy weighing 50 lbs
QUESTION: What are his safety restraints when riding in car?
A) Rear-facing infant seat in back seat
B) Rear-facing booster seat in back seat
C) Booster seat in front seat
D) Booster seat in back seat
CORRECT ANSWER(S):
D) Booster seat in back seat
Two National Rules:
- Rear facing until at least 1 yo
- Must be in separate restraint (plus seatbelt) until 4 yo or 40lbs
WRONG ANSWERS:
A)
B)
C)
D)
BACKGROUND:
- 2 hr old female in NICU
- FT, 5180g via in vitro
- Omphalocele prev eval'd by surg
2|Page
, PC-PNCB Exam Topics Actual Exam
- Now jittery w/BG at 12
- PE = macroglossia, facial nevus flammeus, midface hypoplasia, & infraorbital
creases
QUESTION: Which of the following is she at risk for?
A) Acute Lymphoid Leukemia
B) Osteosarcoma
C) Medullary Thyroid Cancer
D) Hepatoblastoma
CORRECT ANSWER(S):
D) This is Beckwith-Wiedemann Syndrome (11p15) --> Wilms and Hepatoblastoma
(do US and measure serum AFP)
WRONG ANSWERS:
A)
B)
C)
BACKGROUND:
- 14mo w/head injury after fall
QUESTION: When assessing children with injuries, which of the following findings
does the nurse consider most concerning for possible child abuse or neglect?
A) Bruise in crawling, but not walking child
B) Delay by parents in seeking care
C) Bruising on legs
D) Any scald injury in child under age of 5
CORRECT ANSWER(S):
3|Page
, PC-PNCB Exam Topics Actual Exam
B)
WRONG ANSWERS:
A) 2 or more bruises in child not yet crawling = red flag
C) Red Flag Bruising on torso, neck, ears, or buttocks; bite marks also
D) Immersion scald injuries w/clear demarcation line (rather than splatter patter)
are consistent w/abuse
QUESTION: Which of the following statements regarding physiological peripheral
pulm stenosis (PPPS) is true?
A) May resolve spontaneously by 2-6 mo
B) Majority of cases have an associated syndrome
C) Detailed w/u to be done in neonatal period to find the etiology
D) Usually associated w/mild cyanosis
CORRECT ANSWER(S):
A) PPPS d/t persistent fetal anatomy
- soft, harsh systolic ejection murmur best heard at axilla
WRONG ANSWERS:
B)
C)
D)
QUESTION: Which of the following is true of teamwork training for
interprofessional collaborative practice in health professions education?
A) Outcomes-based competency expectations required
B) Includes training with other nurses only
C) Has lagged behind practice changes
4|Page
